<!DOCTYPE html>
<html>
<head lang="en">
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1, maximum-scale=1, user-scalable=no,target-densitydpi=device-densitydpi" />
    <title>我要报名</title>
    <link rel="stylesheet" href="css/common.css">
    <script type="text/javascript" src="js/jquery-1.11.3.min.js"></script>
    <!-- <script src="./js/jquery-1.11.1.min.js"></script> 
    <script type="text/javascript" src="js/self-menu.js"></script>

    <script src="./js/pageCommon.js"></script>
    <script type="text/javascript" src="js/quo.js"></script>
    <script src="./js/common.js"></script>
    <script src="./js/jquery-jtemplates.js"></script>
    <script type="text/javascript" src="http://api.map.baidu.com/api?v=1.4"></script>
-->
</head>
{literal}
<style>
     main.leave-message .nicknamesp{display: inline-block;margin-right: 45px;}
</style>
{/literal}
<script>

</script>
<body>
<div class="container"></div>
<header>
    <div class="select-back">
       <!--  <a href="javascript:history.go(-1)">
            <span  class="back-icon"></span><br>
            返回
        </a> -->
    </div>
    报名
</header>
<main class="bind">

    <form  action="./?mod=enroll&act=dosubmit" method="post" id="myform1">
        <div class="txt-center">
            <div class="item">
                <span>姓名</span>
            </div>
            <input id="iname" name="iname" type="text" value="{$iname}"  >
            <!-- <div class="item border-bottom">
                <span class="nicknamesp">姓名或昵称</span>
                <span id="username" class="rightsp">xxx</span>
                
            </div> -->


            <!--TODO-->
           
            <!--TODO-->
        </div>

        <div class="item"><span>所在地</span></div>
        <!-- <textarea id="addr"  placeholder="请填写所在地"></textarea> -->
        <input type="text" id="addr" style="width: 100%" placeholder="请填写所在地">
        <div class="item">
            <span>手机号码</span>
        </div>
        <input id="phoneNum" type="text"  placeholder="+86" value="{$phonenum}">
         <div class="item">
                <span class="form-title">是否需要订票</span>
            </div>
             <div class="onsite-service">
            <ul id="ComeFlag" ComeFlag="y">
                <li  ComeFlag="y"><span class="yes" value="Y">是</span></li>
                <li class="checked" ComeFlag="n"><span class="no" value="N">否</span></li>
            </ul>
        </div>
         <div class="item"><span>留言</span></div>
        <textarea id="r1"  placeholder="" style="height: 100px"></textarea> 
        <a id="sub2" >提交</a>

        <input type="submit" name="mysubmit" />
        

    </form>
</main>



</body>
</html>
